Four Seasons Compassion for Life has been awarded a $750,000 grant from the Duke Endowment to expand palliative care using the Extension for Community Healthcare Outcomes (ECHO) model, which connects rural general practitioners to specialists in urban areas and medical colleges via a form of Skype and other internet technologies. It was developed as a way of handling an epidemic of hepatitis C in New Mexico’s rural communities and prisons, and it is designed to prevent disease from growing to epidemic proportions in areas where medical professionals are scarce. Grant proceeds will be used to increase the number of qualified palliative care providers in rural communities and involve them in discussions that would normally only take place in the halls of larger medical institutions. They will also support efforts to connect more persons with community resources and possibly improve the patient experience in the 11 counties served by Four Seasons. Continuum of care services include symptom management, psychological and spiritual counseling, and planning for late stages of disease. The program is made possible through a partnership of Duke University Medical Center, Delta Care Rx, the ECHO Institute, and Four Seasons.